A nurse is caring for a client who has a peripheral iv inserted for fluid replacement
A nurse is caring for a client who has a peripheral iv inserted for fluid replacement. Which items should the nurse document? Select all that apply. a gauze dressing premedicated with antibiotics b. *** With the catheter stabilized and using a slow, steady movement, the nurse should withdraw the catheter straight back and away from the insertion site, making sure to keep the hub parallel to the skin. Serum sodium level is above 145 mEq/L. The client tells the nurse, "I Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has hemophilia. On Day 1, Lactated Ringer’s was infusing at 100 mL/hr into a 20-gauge IV catheter in the left hand. ' What does the nurse do first?, The nurse, who is monitoring the IV site of a Study with Quizlet and memorize flashcards containing terms like Which client is most likely to exhibit dehydration?, During a follow-up visit to the physician, a client with hyperparathyroidism asks the nurse to explain the physiology of the parathyroid glands. Close the roller clamp on the tubing. Presence of an ulnar pulse, A nurse is caring for a client with a peripheral vascular access device 0. What is the first thing the nurse should do? a)Stop the infusion b)Write out an incident report c)Change the solution to D5W d)Report the event to the charge nurse, What is albumin commonly given for?, What is A nurse is caring for a client who has a peripheral IV inserted for fluid replacement The nurse is assessing the client. 45% sodium chloride because it dilutes extracellular fluid and rehydrates the cells 0. Which of the filling actions should the nurse take to secure the catheter? A) Apply an IV securement device. During the most recent check, the nurse observes that the IV has infiltrated so the nurse stops the infusion. 9% sodium chloride is a hypertonic solution. The nurse notes the catheter site is warm and painful to touch. hyperkalemia. ensure that anticoagulants are placed on hold for the duration of IV therapy. Exhibit 1 Nurses Notes Day 1: Lactated Ringer's at 100 ml/hr infusing into a 20-guage IV catheter in left hand, IV dressing dry and intact. (2) replace the IV dressing with a new, clean dressing if it is soiled. Elevate the client's left arm. Which of the following actions should the nurse take?, A nurse is discontinuing a A nurse is caring for a client who is in early stage renal failure and has a prescription for the infusion of IV fluids. This electrolyte imbalance is known as: A. Explain nurse management of IV therapy and peripheral IV access devices. #16-gauge b. One card covers a client with a pressure injury and IV fluid replacement, but does not mention a peripheral IV. Multiple unsuccessful attempts cause pain to the client, delay treatment, limit future vascular access, increase cost, increase the risk for complications, and decrease trust in the nurse. , The nurse is monitoring a client receiving an IV infusion to replace fluids lost during surgery and notices air bubbles in the tubing above the roller clamp. The nurse notes that the site is cool, pale, and swollen and that the IV has stopped running. Jul 31, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse assesses a client who has a radial artery catheter. Jul 25, 2023 · This activity describes strategies for placement of peripheral IV lines by anatomical, landmark-based techniques, and highlights the role of the interprofessional team in placing and caring for IV lines while minimizing complications. which of the following gauge catheters should the nurse plan to use? a) 16 gauge b) 18 gauge c) 22 gauge d) 14 gauge, a charge nurse is observing a new nurse who A nurse is planning care for a client who has experienced excessive fluid loss. 45% sodium chloride A sodium level of 155 mEq/L is an indication of hypernatremia. Provide the client with a salt substitute c. You are caring for a patient who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). A nurse is caring for a client who requires a replacement peripheral IV. Oral fluid intake is 100 mL for the last 8 hours. Which of the following characteristics should the nurse document about the client's reflexes?, A nurse is caring for a client who is Study with Quizlet and memorize flashcards containing terms like What is the best intervention the nurse should take once they recognizes that the patient has phlebitis at his IV site? a. Encourage the client to rise slowly when The nurse is caring for a client with a peripherally inserted central catheter. The client is diagnosed with dehydration. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. Which of the following substances in fish oil should Study with Quizlet and memorize flashcards containing terms like The student nurse asks, "What is interstitial fluid?" What is the appropriate nursing response?, The nurse is caring for a client who will be undergoing surgery in several weeks. The client states, "I would like to give my own blood to be used in case I need it during surgery. There is prolonged skin tenting over the sternum Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to a healthcare facility the nurse is placing the client on isolation precautions which of the following interventions should the nurse include, A client who is postoperative is verbalizing pain as a two on a pain scale of 0 to 10 which of the following statements are the nurse identify as an Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has dehydration and is receiving IV fluids. Which assessment data will be of most concern to the nurse? a. A set of flashcards for nursing students to review fundamentals of nursing. Use clean technique when changing the dressing. Begin the prescribed infusion via the new access. Correcting Electrolyte Imbalances. 4 hours Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has been diaphoretic and observes that the dressing on the peripheral venous access site has become loose and needs changing. Elevate the affected extremity. #18-gauge c. IV site without redness or swelling. The nurse writes on the plan to check the IV of an assigned client who is receiving fluid replacement therapy at least every: 1. Place a pressure dressing over the IV site. Exhibit 1 Nurses' Notes Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV catheter in left hand. Study with Quizlet and memorize flashcards containing terms like A nurse is planning wound management for a client who has a stage 3 pressure injury. the nurse notes the client face is Study with Quizlet and memorize flashcards containing terms like An older adult client has been admitted to the hospital with dehydration, and the nurse has inserted a peripheral intravenous line into the client's forearm in order to facilitate rehydration. Which of the following interventions should the nurse include in the plan?, A nurse is planning care for four clients following change-of-shift report. Percent of heparin in infusion container D. What actions should the nurse take when caring for this client? Select all that apply. #22-gauge d. The client complains of burning at the IV insertion site and the nurse notes that the site is red and puffy, and there is a red streak extending across the hand from the insertion site. Explain the principles of peripheral intravenous site selection and contraindications. . The client is dehydrated and requires a smaller gauge catheter than the #20-gauge being replaced. Should the nurse start salt tablets when caring for this client? - No, start with the sodium chloride IV. Which of the following actions should the nurse take?, a nurse rates a client's biceps reflex as 2+. Your patient's plan of care includes assessment of specific gravity every 4 hours. Which of the following clients is the nurse's priority?, A nurse is planning care for four A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. Which of the following actions by nurse is appropriate?, prac: the nurse is monitoring. Report a reduced urinary output to the health care provider. B. The nurse is preparing to hang 1 liter of normal saline with 40 mEq (40 mmol) potassium chloride to infuse at 75 mL/hr beginning at 10:00 a. Check medication calculations with a second RN. #14-gauge A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. 2 hours 3. bounding peripheral pulses D. Identify modifications for performing IV therapy across the life span. Hang the fluid and tubing The nurse is caring for a client who has a peripheral IV in place for fluid replacement. The client reports pain and swelling in a joint following an injury. hypernatremia. which of the following actions should the nurse take?, A nurse is completing a medication hx for a client who reports using fish oil as a dietary supplement. Using a hospital gown with snaps at the sleeves 2. Which of the following actions should the nurse take when washing their hands?, A nurse is collecting data from a client who has an NG tube set to low intermittent A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. Which of the following actions should the nurse take?, A nurse is collecting data on a client who has diarrhea. PTH maintains the balance between calcium and, A client has Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is not able to take food orally for 1 week to 10 days. apply firm pressure over the vein. The nurse determines that which has probably occurred?, The nurse is checking the insertion site of a peripheral intravenous (IV) catheter. Adjust the additive in the current IV. Squeeze the drip chamber to half fill it. On Day 2, the IV site was edematous. The nurse is providing hygiene care to the client and should avoid which while changing the client's hospital gown? 1. Study with Quizlet and memorize flashcards containing terms like A nurse is checking the IV insertion site for infiltration for a client who is receiving fluid replacement. , A client with a diagnosis of colon cancer has opted for a treatment plan that Jun 19, 2024 · Intravenous (IV) therapy is a major component of modern medical treatment and serves various purposes, including: Maintaining or Restoring Fluid Balance. Make sure that the solution is Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who requires a replacement peripheral IV. Remove the IV catheter d A nurse is assisting in the care for a client who requires a replacement peripheral IV. Which of the following findings is a manifestation The nurse is assigned to care for a client with a peripheral intravenous (IV) infusion. the client reports dizziness and feeling of chest tightness. Which type of dressing would be best for this client?, Which action by the nurse is most important to ensure the client's safety when changing a peripheral venous Study with Quizlet and memorize flashcards containing terms like A 64-year-old client is brought in to the clinic with thirsty, dry, sticky mucous membranes, decreased urine output, fever, a rough tongue, and lethargy. Disconnecting the IV tubing from the catheter in the vein 3. 3 hours 4. Which assessment should the nurse complete first A. The nurse should recognize that which of the following findings indicates fluid volume excess? (select all that apply), While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a replacement peripheral IV. Provide the client with a salt substitute. Which of the following assessment findings should the nurse identify as an indication of a hypersensitivity reaction to the phenytoin? a) enlargement of the cervical lymph nodes b) diarrhea c) ringing in the ears d) alopecia, A nurse is caring for The nurse is caring for a client who has a peripheral IV in place for fluid replacement. The nurse states that these glands produce parathyroid hormone (PTH). Amount of pressure in fluid container B. The set delivers 20 gtt/mL. , The nurse is caring for a client who has a peripheral IV in place for fluid replacement. Apply heat to the client's left hand. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. " What is the appropriate nursing response?, Upon Study with Quizlet and memorize flashcards containing terms like A client is to receive a 1,000 mL bag of 5% dextrose in lactated ringer's over 8hr. The results of this test will allow the nurse to assess what aspect of the patient's health? A) Nutritional status B) Potassium Study with Quizlet and memorize flashcards containing terms like A health care provider orders a bolus infusion of 250 mL of normal saline to run over 1 hour. IV dressing dry and intact. May 19, 2024 · Nurses should restrict IV insertion attempts to no more than two attempts per clinician. Urine output is 30 mL over the last hour. discontinuing a peripheral IV. Change the infusion tubing b. 9% sodium Study with Quizlet and memorize flashcards containing terms like The nurse is doing a routine assessment of a client's peripheral intravenous (IV) site. Which of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving a continuous IV through a peripheral intravenous device. During rounds Study with Quizlet and memorize flashcards containing terms like prac: a nurse is caring for a client who has FLUID OVERLOAD following continuous IV infusion of 200 ml/hr. 44, paCO2 37 mm Hg, and HCO3- 24 mEq/L. Which of the following gauge catheters should the nurse recommend using? a. The IV site was without redness or swelling. D. C) Tape the IV catheter's hub securely to the client's skin. Assess for pitting edema. Insert a new catheter every 3 days per policy. Which of the following actions should the nurse take? Select all that apply. Place a moist warm compress over the site. A nurse has just inserted a peripheral IV catheter. Which action related to intravenous therapy should the nurse do first?, A client scheduled for surgery has arranged for an autologous transfusion. Ensure that an x-ray is completed to confirm placement. What is the nurse's priority concern with this infiltration? A nurse is assisting in the care for a client who requires a replacement peripheral IV. calculating IV rates. m. a client who is receiving an iv med. Place the following steps in the order in The nurse has initiated a 20-gauge peripheral IV catheter in the client's left cephalic vein using aseptic technique. Follow the facility policy for infusion of potassium. Which of the following types of nutrition does the nurse know that the client will likely receive?, A client loses experiences syncope after strenuous exercise and needs to be admitted to a health care facility. When caring for the client's IV site, the nurse should: A. Which of the following gauge catheters should the nurse plan to use? Study with Quizlet and memorize flashcards containing terms like potential infusion sites for peripheral venous catheters, IV Flow Rate Formula, When hanging a new bag of IV fluid for a client, which action does the nurse perform first? Spike the new bag of fluid using aseptic technique. The nurse knows that the client needs restoration of:, The nurse is calculating an infusion rate for the following Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer fluid replacement to a client. Administer IV fluids evenly over 24 hr. Change the dressing every 7 days per policy. increased urine specific gravity B. - Yes, along with the hypotonic Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has experienced excessive fluid loss. The nurse should anticipate a prescription for a hypotonic solution. Which of the following gauge catheters should the nurse plan to use?, A nurse is preparing to start an IV for a client who has a high risk for bleeding. The client is dehydrated and requires a smaller gauge catheter than the 20 gauge being replaced. Which of the following actions should the nurse take? a. , The nurse is caring for a patient receiving intravenous The nurse is caring for a client who has a peripheral IV in place for fluid replacement. What type of blood transfusion is this?, A client with dehydration is being administered IV fluids. Day 2: IV site edematous. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing an older adult client who is receiving IV therapy. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had IV fluids initiated at 0330. Discuss appropriate selection of IV catheter type and size. Administer IV fluids to the client evenly over 24 hr b. What is the flow rate in gtt/min? 5,000 gtt/min 83 gtt/min 42 gtt/min 167 gtt/min, A home care nurse is visiting a client with acute kidney injury who is on fluid restriction. the client is dehydrated and requires a smaller gauge catheter than the 20 gauge being replaced. Assess the client for pitting edema d. hypoactive bowel sounds C. The nurse is caring for a client who is to receive IV daunorubicin, a chemotherapeutic agent. Dextrose 5% in 0. The nurse notes that the area of the arm immediately surrounding the insertion site is red and feels warm. The nurse Study with Quizlet and memorize flashcards containing terms like The nurse is caring for several clients receiving IV therapy. C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has the following arterial blood gas (ABG) values: pH 7. Using tubing ith a drop factor of 15 gtt/mL, the nurse should regulate the fluid to infuse at how many drops per minute?, A nurse is removing a client's IV catheter. E. 45% sodium chloride is a hypotonic solution used to provide free water and treat cellular dehydration, which promotes waste elimination by the kidneys. Which client is at highest risk for experiencing fluid overload as a complication of IV therapy?, The nurse is monitoring an IV site for a client who reports that the needle feels 'funny. B) Wrap tape around the circumference of the client's arm. The nurse should record how many mL of IV fluids on the intake record at 0600?, A nurse is preparing to insert an IV catheter for a client and has selected the insertion site. 1 hour 2. Which action Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like Endurance athletes who exercise for long periods of time and consume only water may experience a sodium deficit in their extracellular fluid. hypokalemia. Study with Quizlet and memorize flashcards containing terms like By which route do oxygen and carbon dioxide exchange in the lung?, A client loses consciousness after strenuous exercise and needs to be admitted to a health care facility. The nurse is assessing the client. d. a A nurse is making a worksheet and listing the tasks that need to be performed for assigned adult clients during the shift. The nurse should first _______, followed by_________, A nurse is preparing to obtain a client's vital signs. c. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has just had a central venous access line inserted. The IV fluids are infusing at 120 mL/hr. The client is diagnosed with Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Exhibit a Nurses' Notes Day 1: Lactated Ringers at 100 ml/hir intusing into a 20-guage IV catheter in left hand. What action will the nurse take next? a. The 0. Which of the following findings should the nurse identify is infiltration of the IV infusion site?, A nurse is preparing to anchor with tape the catheter tube for a male client who has a newly inserted indwelling urinary A nurse is caring for a client who is receiving a fluid infusion through a peripheral IV catheter. ***3. Date of catheter tubing change C. The nurse starts the infusion and checks the insertion site as per protocol. Exhibit 1 Nurses' Notes Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-guage IV catheter in left hand. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) a. The nurse should identify that theyse values are an indication of which of the following?, A charge nurse is observing a newly licensed nurse who is preparing to administer a blood transfusion to a Study with Quizlet and memorise flashcards containing terms like A nurse notes that a client's receiving IV is Ringer's lactate when the order states that the IV solution should be D5W. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who started a prescription for phenytoin 3 weeks ago. Blood pressure is 90/40 mm Hg. The IV dressing was dry and intact. When caring for the client's IV site, the nurse should: ensure that anticoagulants are placed on hold for the duration of IV therapy. Study with Quizlet and memorize flashcards containing terms like 1. Stop the IV infusion. monitoring the effectiveness of IV therapy. 1. replace the IV dressing with a new, clean dressing if it is soiled. Pull the catheter straight back from the insertion site. When assessing for complications, the nurse should recognize which of the following manifestations as a sign of fluid overload? A. 2. D) Place a piece of paper tape over the insertion site. The nurse’s responsibilities in managing IV therapy include the following: assessing an IV site. Study with Quizlet and memorize flashcards containing terms like The nurse has just successfully inserted an intravenous (IV) catheter and initiated IV fluids. What type of dressing should the nurse apply over the client's venous access site? a. Flush the IV catheter c. Which of the following IV fluids does the nurse anticipate a prescription for and why? 10% dextrose in water because it pulls fluid from the cells and increases vascular volume 0. decreased respiratory rate Study with Quizlet and memorize flashcards containing terms like A nurse is measuring a client's vital signs and notices an irregularity in the pulse. b. Which of the following interventions should the nurse include in the plan of care? A. Reduce the IV flow rate. Checking the IV flow rate immediately after changing the hospital gown 4. When caring for the client's IV site, the nurse should,,,, Group of answer choices (1) ensure that anticoagulants are placed on hold for the duration of IV therapy. preparing and hanging a secondary IV bag. priming and hanging a primary IV bag. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. hyponatremia. Leave the roller clamp slightly open. The IV fluid was infusing well. Putting A nurse started a peripheral IV on a client 24 hours earlier and is administering lactated Ringer's solution with electrolytes at a rate of 125 mL/hr. IV therapy is vital for rehydrating patients suffering from dehydration and maintaining fluid balance. IV fluid infusing well. vhys enzihaw gbkm oybkb ozmx demz rnxkzu qvpzwx gfrgw xgng